Blue Pine Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLUE PINE THERAPY

Practice address

2214 NE Division St Ste 101
Bend, OR 97703-3551

Phone

(541) 647-9609

NPI assigned

Sep 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Streeter, LPC

Title

Owner

Phone

(541) 647-9609

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Helen Jean Feroli, LPC, CADC III

  • Mental Health Counselor
  • Bend, OR
  • NPI 1013658236
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1295562601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SW CENTURY DR STE 100-162",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023557",
            "telephone_number": "541-647-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 NE DIVISION ST STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033551",
            "telephone_number": "541-647-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE PINE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "STREETER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-647-9609",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D Blizzard, MD
• Ryan Bloodworth
• Bloom Support Services, LLC
• Colin Bloom, CADC-R, PSS
• Blossom Therapeutics, LLC
• Blue Star Naturopathic Clinic PC
• Bethany Michelle Blumenchein
• Megan Blunda, M.D.
• Richard H Bochner, M.D.
• Claire Elizabeth Bock, MPAS, PA-C

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.